宫腔镜下电切术与宫腔镜下刮宫术治疗异常子宫出血的效果对比探索

A Comparative Study on the Effect of Hysteroscopic Electrectomy and Hysteroscopic Scrape of Uterine Hemorrhage

目的:对比分析宫腔镜下电切术与宫腔镜下刮宫术在异常子宫出血患者中的治疗效果。方法:选取2018年10月~2019年12月本院妇产科收治的异常子宫出血患者130例为对象,根据治疗方法分入两组,对照组65例采取宫腔镜下的刮宫术治疗,观察组65例行宫腔镜下电切术治疗,对比两组的手术时间、术中出血量、术后住院时间等。结果:两组手术时间比较观察组长于对照组,P<0.001;观察组的总有效率93.85%高于对照组的总有效率81.54%,差异有统计学意义,P<0.05;观察组患者随访12个月复发率6.15%低于对照组的复发率18.46%,P<0.05;在病因检出率、术中出血量、术后住院时间、术后并发症发生率比较上两组之间差异均无统计学意义,P>0.05。结论:宫腔镜下电切术在异常子宫出血治疗中应用疗效肯定,虽然会增加手术时间,但是手术操作更为彻底,能将病灶从根部切除,减少残留,预防复发。

Objective:To compare and analyze the therapeutic effect of hysteroscopic resection and hysteroscopic curettage in patients with abnormal uterine bleeding.Methods:130 patients with abnormal uterine bleeding admitted in our hospital from October 2018 to December 2019 were selected as the object,divided into two groups according to the treatment method,65 patients in the control group were treated with hysteroscopic curettage,and 65 patients in the observation group were treated with hysteroscopic electrotomy to collect the indexes and postoperative recovery indexes of the two groups were collected.Results:The operation time of the two groups was longer in the observation group than in the control group,P<0.001;The total effective rate of the observation group was 93.85%higher than that of the control group of 81.54%,the difference was statistically significant(P<0.05);The recurrence rate of patients in the observation group was 6.15%lower than the recurrence rate of 18.46%in the control group after 12 months of follow-up,P<0.05;There was no statistically significant difference between the two groups in the detection rate of etiology,intraoperative blood loss,postoperative hospital stay,and postoperative complication rate,P>0.05.Conclusion:Hysteroscopic electrotomy is effective in the treatment of abnormal uterine bleeding,although it will increase the operation time,but the operation is more thorough,can remove the focus from the root,reduce the residue,and prevent recurrence.